PAMELA J PETTIJOHN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000559

License Status

INACTIVE

Business

First Name

PAMELA J

Last Name

PETTIJOHN

Business Name

PAMELA J PETTIJOHN

Original Issue Date

09/13/1991

Effective Date

09/13/1991

Expiration Date

09/30/2001

City

RED BUD

State

Zip

62278

County

RANDOLPH

Ever Disciplined

LastModifiedDate

10/17/2005